Healthcare Provider Details
I. General information
NPI: 1548654577
Provider Name (Legal Business Name): TONEWORKS MUSIC THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2015
Last Update Date: 05/19/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5600 LINCOLN DR SUITE 280
EDINA MN
55436
US
IV. Provider business mailing address
1918 19TH AVE NE
MINNEAPOLIS MN
55418-4728
US
V. Phone/Fax
- Phone: 218-316-0520
- Fax: 952-516-5347
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNDIE
WALKER
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: MT-BC
Phone: 218-316-0520